Provider Demographics
NPI:1295186237
Name:ZELMAN, SHIRA (MS ED BCBA LBA)
Entity Type:Individual
Prefix:
First Name:SHIRA
Middle Name:
Last Name:ZELMAN
Suffix:
Gender:F
Credentials:MS ED BCBA LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 NYTKO DR
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-2645
Mailing Address - Country:US
Mailing Address - Phone:845-521-0192
Mailing Address - Fax:
Practice Address - Street 1:4 NYTKO DR
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-2645
Practice Address - Country:US
Practice Address - Phone:845-521-0192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP02375103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst